chapter 10 Flashcards

1
Q

complex whole which includes knowledge, beliefs, art, morals, laws, and other capabilities and habits by people in society

A

culture

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2
Q

those with characteristics found in over 50% of a population

A

majority

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3
Q

morbidity and mortality of those less than 50% of a population

A

minority

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4
Q

morbidity and mortality of those less than 50% of the population

A

minority health

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5
Q

The incorporation of the ethnic and cultural characteristics, experiences, norms, values, behaviorial patterns, and beliefs of a population
The acknowledgement of the relevant historical, environmental and social forces in the design, delivery and evaluation of targeted health promotion materials and programs

A

cultural sensitivity

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6
Q

the capacity of an individual to exercise interpersonal cultural sensitivity
The ability to serve multicultural populations using best practices in public health and medicine

A

cultural competence

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7
Q

A practitioner may exibit _________, whereas health education programs, materials, and messages may exhibit _________

A

cultural competence

cultural sensitivity

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8
Q

how many racial categories in 1978

A

4

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9
Q

how many ethnic categories?

A

`2

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10
Q

revised standards issued in 1997 and expanded race from 4 to ____

A

5

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11
Q

the concept of race/ethnicity is a _____ category and construct
our focus is on the ________ of health disparities

A

social

social determinants

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12
Q

process where attitudes, beliefs or behaviors of people from one culture are modified as a result of contact with a different culture

A

acculturation

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13
Q

o Hispanics tend to return to their birth country after they retire or become seriously ill
o Not counted in US vital statistics and thus become “statistically immortal”

A

salmon bias hypothesis

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14
Q

healthiest persons self select for migration

A

healthy migrant hypothesis

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15
Q
Behavior-oriented
Whole-specific
Imbalance
Visionary diagnosis
Wellness-oriented
A

indian medicine

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16
Q
Complaint-oriented
Organ-specific
Causes
Technical diagnosis
Illness-oriented
A

western medicine

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17
Q

people who flee their own home country seeking shelter or protection

A

refugees

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18
Q

people who migrate from other countries to set up permanent residence

A

immigrants

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19
Q

people who were born in and owe allegience to a country other than where they live

A

aliens

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20
Q

people who entered a country without any permission whatsoever

A

illegal aliens

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21
Q

state of successful performance of mental function resulting is productive activities fulfilling relationships with other people and the ability to adapt to cope with adversity

A

mental health

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22
Q
characteristics of mental health
function under \_\_\_\_\_\_\_\_
accept \_\_\_\_\_
maintain control over \_\_\_\_\_\_\_
find more \_\_\_\_\_\_\_\_
A

adversity
change
tension
satisfaction

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23
Q

term that refers collectively to diagnosable mental disorders

A

mental illness

24
Q

health conditions characterized by alternation in thinking mood or behavior associated with distress or impaired functioning

A

mental disorders

25
Q

Scientist estimate that ____people are directly affected by mental illness….many more are affected indirectly.

A

1/4

26
Q

four of the 10 leading causes of disability are:

A

depression
bipolar disorder
schizophrenia
OCD

27
Q

first two causes of mental illness disability are:

A

alcohol and drug abuse

28
Q

Approximately ______ children under the of 18 have some mental disorder.

A

12 million

29
Q

Mental health problems affect ______young people at any given time
less than ___ recieve health services
as many as 1 in every ___ children may be depressed

A

1 in every 5
1/3
1 in every 33

30
Q

Diagnostic and statically manual of mental disorders 5th edition
released in 2013

A

DSM 5 classification system

31
Q
today 188 major digenetic classes are based on:
\_\_\_\_ at onset
\_\_\_\_\_\_\_
\_\_\_\_
is \_\_\_\_\_\_ and does not assess \_\_\_\_\_
A
age
severity
symptoms
descriptive
assess causation
32
Q

requirements for measurements:
_________: are criteria easy to understand and use?
_____: do criteria describe problems and help with treatments
_______: are same conclusions consistenly reached when criteria are applied across providers
________: how accurately do criteria reflect the mental disorders they are designed to describe

A

feasibility
clinical utility
reliability
validity

33
Q

most easily understood mental disorder

A

anxiety

34
Q

3 types of intense fear response to threat

A

phobias
panic attacks
generalized anxiety

35
Q

disturbances of perception and thought process
examples:
schizophrenia, hallucinations delusions

A

psychosis

36
Q

Tropically sustained sadness or elevated mood

major depression, mania, or bipolar disorder

A

mood disturbances1

37
Q

Persistent sadness or despair

  • Insomnia and decreased appetite
  • Anhedonia and irritability
  • Apathy, poor motivation, social withdrawal
  • Feelings of helplessness and suicidal ideation
A

depression

38
Q

ersistently elevated mood

  • Grandiosity and decreased sleep
  • Racing thoughts and distractibility
  • Poor judgment and impaired impulse control
  • Rapid or pressured speech
A

mania

39
Q

viewed the psyche as a charioteer trying to drive two horses one
noble and the other driven by animalistic desires the charioteer has to balance these impulses.

A

plato

ancient greece and rome

40
Q

Contemplated the role of genetic inheritance

- Viewed actions, feelings, and thoughts as a single unit.

A

aristotle

41
Q

Beginnings of the age o faith
- Christ healed by faith therefore people believed only the grace of God would
provide a cure for physical or mental illness
- Cause of emntal illness was demonic possession treatment involved exorcism

A

middle ages 500-1500

42
Q

emphasis on family responsibility v. animal treatment

A

colonial america

43
Q

institutions were built for the insane
conditions were harsh
treatments were almost non existent
mental illness was a moral weakness

A

18th century

44
Q

haracterized by more humane treatment
- Moral in this case means ‘’return to reason’’
- Environmental and the comforts o home paly a role I the treatment of
persons with mental illness.
_______ advocated for those with mental illness; felt state was
responsible for their treatment and care
- Number of state hospital grew rapidly during last 25 years of 19th century

A

19th century

dorthea dix

45
Q

had bipolar mood disorder was repeatedly hospitable and

founded what I now called the National Mental Health Association

A

clifford beers

46
Q

felt acute care should be provide in new psychopathic

hospitals

A

dr adolf meyer

47
Q

15 million men rejected for service because of mental retardation and mental illness

  • Virtually all psychiatrist were drafted into service
  • new treatment were introduced: ____
  • Walter freemen and lobotomy
  • Antipsychotic and anti-depressive drugs
A

world war II era

ECT

48
Q

Discharging of patients from sate owned mental hospitals to less restrictive
community settings
propelled by 4 forces: economics ,idealism ,legal considerations, Antipsychotic drugs.

A

deinstitutionilzation

49
Q

lobbied for the passage of the Mental Retardation
Facilities and Community Mental Health Centers (CMHC) act 1963
more than 750 community mental health centers created and deemed eligible of Medicare dollars if core services provided 1966 – 1989

A

president kennedy

50
Q

to promote recovery in persons with serious and persistent mental disorders.
recognize chronic mental illness problems as social welfare problems
focus on service not facilities

A

community support programs

51
Q

mental health challenges in america today
america has no national ________
serious mental illness are in people who are ________
more than ______ are homeless eac year
____ of all people with serious mental illness have been homeless at one time or another

A

mental health programs
homeless
2 million adults
2/3

52
Q

more than ____ of all inmates have mental health problems

A

more than 1/2

53
Q
acculturation worsens hispanic health
-\_\_\_mortality rates
- \_\_\_\_ birthweight babies
- \_\_\_\_ blood pressure
- \_\_\_\_\_\_\_ pregnancy weights
overall \_\_\_\_\_ weights
A
increased
low
high
adolescent
cancer
54
Q
acculturation changes behaviors
\_\_\_\_\_\_ fiber consumption
\_\_\_\_\_\_\_ breast feeding
\_\_\_\_\_\_\_ use of cigarfettes
\_\_\_\_\_\_ alcohol consumption
\_\_\_\_\_\_\_ use of illicit drugs
\_\_\_\_\_\_ under influence of alcohol
A
decreased
decreased
increased
increased
driving
55
Q

lowest income

A

black ppl

56
Q

lowest education levels

A

hispanics